Question: I have recently had blood in my stools - the blood in my stools is at the end of a bowel movement - I have checked this by wiping my bottom and examining the stools at the start and there was no blood, I have checked this and wiped my bottom and examined the stools in the middle and also there was no blood in the toilet but a little bit of blood in the toilet paper. However at the end, there is a bit of blood in the stool and all that was from the toilet paper was blood. I have recently had a colonoscopy two and a half weeks ago because at the time I had a lot of gas and porridge like dirraeha, the colonoscopy and biopsy was negative for cancer cells and my gastroenterologist diagnosed me with a rare condition called lymphocyte hyperplasia and told me there was a bit of concussion. He told me at the time there was no haemorrohid or cancer seems like my diarrhea has stopped and in the past week or so, my stools have been very hard solid - for the past 4 days, I have passed banana like stools which are very long pieces and a couple of days ago, I felt the lining sheet of my anus has ripped - when I was passing stools, I felt like a knife has passed through my anus. I generally don't suffer from constipation as I have bowel movement everyday but recently my stools have been very hard solid. Bleeding only occurs at the end of a bowel movement and I do feel a bit of burning sensation afterwards yesterday but when I use Anusol, the burning sensation has helped a bit. There is no abdominal pain or tiredness. Blood is fresh blood - after I had a colonoscopy and biopsy was taken, there was bleeding on my first bowel movement but it stopped afterwards. So therefore I can recognize fresh blood.

Dear Doctor, I just wanted to confirm that it is an anal fissure and not a haemorrohoid. I do experience a bit of pain when it comes to passing a bowel movement but pain is not that severe compared to breaking my hand for example. Sometimes for the next half an hour, there is a bit of discomfort and a burning sensation around my anus region and a bit irritating but it will go away till my next bowel movement. As disgusting as it is, when i touch my anus region, i seem to feel a bit of a lump which is only a small lump. In the past, i have had a very very very small amount of blood on the toilet paper as I was wiping my bottom very extensively and not using a dabbing motion. I have never had this amount of blood before although blood seems to be separated from my solid banana stools. Do you think with the lump in mind whether it is a haemorrhoid or an anal fissure?

I also wanted to ask that with an anal fissure, bleeding towards the end of each bowel movement is normal? If bleeding continues towards the end of each bowel movement for one month, it is still classified as being acute? Bleeding has continued on for 5 days already at the end of each bowel movement and Im just a bit concerned. I know that if I do an incomplete bowel movement then I wont see bleeding but if I complete the bowel movement at the end, I will see blood in the toilet and on the toilet paper. The blood on the toilet paper is the same volume as somebody blowing their nose. After the first wipe, then I see very little blood on the second wipe and the third wipe. Since I had the colonoscopy two and a half weeks ago, you think its definitely not cancer? I think because I had banana like hard stools for 4 consecutive days thats the reason why I got the anal fissure and for 2 of those days, I felt my stool resembled a knife coming out of my anus. I feel fine otherwise, no temperature, no abdominal pain, can eat a lot, no tiredness, full of energy. Also, I dont have a lot of pain when I pass soft bowel movements and only a little bit of pain when I pass hard movements - it is a bit sharp but it will only last for 5 seconds or so. There is a bit of discomfort afterwards but it will only last from 10 minutes to 30 minutes.